MEDICARE: VADIM LERMAN D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	256328	NY

General Provider Information

NPI Number	:	1669683280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VADIM LERMAN D.O.

Provider Business Mailing Address
First Line	:	5500 MERRICK RD
Second Line	:
City	:	MASSAPEQUA
State	:	NY
Zip	:	11758-6231
Country	:	US
Telephone Number	:	917-617-0848
Fax Number	:

Provider Business Practice Location Address
First Line	:	5500 MERRICK ROAD
Second Line	:
City	:	MASSAPEQUA
State	:	NY
Zip	:	11758
Country	:	US
Telephone Number	:	516-795-3033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	06/12/2026

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